Re: [Sepsis Groups] Reflex lactates

2016-04-12 Thread Angela Craig
We started these as well and no push back thus far. Angela Craig Cookeville Regional Medical Center CNS for ICU Sent from my iPhone On Apr 11, 2016, at 2:29 PM, Sprague Amy L - St. Francis Hospital and Health Centers

Re: [Sepsis Groups] Sepsis 3

2016-04-12 Thread Seckel, Maureen M
Hi, Sepsis 3 replaces the 2001 (Sepsis 2)sepsis task force definitions. The original definitions were made at the 1991 consensus conference (Sepsis 1). The 2012 SSC guidelines provided the recommendations for care based on the current definitions at that time. The revision to the 2012

Re: [Sepsis Groups] Sepsis 3

2016-04-12 Thread Mary Draper
Thanks for the feedback. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management JMH Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 mary.dra...@johnmuirhealth.com [cid:image001.png@01D194B2.D0943B40] "O,

Re: [Sepsis Groups] Sepsis 3

2016-04-12 Thread Mary Draper
The 2012 definitions updated the 2001 definitions. I don't think the Sepsis 3 released Feb this year, actually has "replaced" the 2012 definitions. Appreciate feedback if there are others who think it does. Thanks. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT

[Sepsis Groups] Reflex Lactates

2016-04-12 Thread Amy E. Curley
We have approved a nurse driven protocol that is called a "conditional" order in Epic where a new order will be generated for a lactate of 2 or greater. We have chosen to do this 3 hours after initial result. The literature does not support a "hard" re-draw time, and CMS asks for it to be

Re: [Sepsis Groups] Sepsis 3

2016-04-12 Thread Behaik
Thank you...Others? William E. Haik, M.D., F.C.C.P., C.D.I.P. AHIMA Approved ICD-10-CM/PCS Trainer Office: _(850) 863-2110_ (tel:(850)%20863-2110) Cell: _(850) 803-5854_ (tel:(850)%20803-5854) Fax: _(850) 864-4438 In a message dated 4/11/2016 2:33:46 P.M. Central Daylight Time,

[Sepsis Groups] OBS admissions

2016-04-12 Thread Merwin, Courtney C.
Hello all, A patient is initially admitted as OBS, changed to inpatient status 2 days later. The only criteria for sepsis I can find is on the initial day of the visit (OBS), nothing to qualify her for sepsis once she has been admitted to inpatient status. My question...Am I to look at the

[Sepsis Groups] Post Perfusion Assessment Documentation

2016-04-12 Thread Elaine.Miller
How are you getting compliance on the Post Perfusion Assessment - we are trying written and verbal reminders but that isn't always getting a good result... Elaine Miller, MHA, BS, RN, CLGB | Sr. Director Performance Improvement | HCA West Florida Division 3031 N. Rocky Point Drive West | Tampa,

[Sepsis Groups] Weight in kg

2016-04-12 Thread Lindsay DeCoster
Is anyone aware of the CMS requirements on calculating a fluid bolus to the nearest 10th of a pound? Oftentimes our physicians will order a bolus based on the patient's weight of 87 kg as opposed to 87.4 kg. Thank you, Lindsay Lindsay DeCoster, RN | Quality Assurance Coordinator Sepsis

Re: [Sepsis Groups] Sepsis 3

2016-04-12 Thread Behaik
Thank you That is what I understand from Dr Levy that Sepsis 3 replaces all other criteria, which is what one of the RACs have told me as well when they validate sepsis.. ...I have spoken with CMS and for now they are keeping with the older criteria for Sep-1 #0500 NQF bundle, which I